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Individual

CAMERON QUINCY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 968-1144
Mailing address
3053W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
53075
TN
2085R0202X
Diagnostic Radiology Physician
P7709
TX

Other

Enumeration date
05/05/2009
Last updated
10/26/2018
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